Active NPI
Hans S. Lee, M.D.
- Plastic and Reconstructive Surgery Physician
- Charleston, WV
National Provider Identifier
1255324869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 09496
- Practice address
- 1306 Kanawha Blvd E
Suite 100
Charleston, WV 25301-3001 - Phone
- (304) 342-1113
- Fax
- (304) 346-2271
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 09496 | WV | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 09496 | WV | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 09496 | WV | Primary |
Addresses
Primary practice location
1306 Kanawha Blvd E
Suite 100
Charleston, WV 25301-3001
Mailing address
1306 Kanawha Blvd E
Suite 100
Charleston, WV 25301-3001
Phone (304) 342-1113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0114231000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09496 | WV | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hans Lee MD Inc | Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Charleston, WV
- NPI 1003800442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1255324869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 KANAWHA BLVD E",
"address_2": "SUITE 100",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253013001",
"telephone_number": "304-342-1113",
"fax_number": "304-346-2271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 KANAWHA BLVD E",
"address_2": "SUITE 100",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253013001",
"telephone_number": "304-342-1113",
"fax_number": "304-346-2271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HANS",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WV",
"license": "09496",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "WV",
"license": "09496",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WV",
"license": "09496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0114231000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.